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Borderline personality disorder and attention deficit/hyperactivity disorder in adolescence: overlap and differences in a clinical setting

Akca, Omer Faruk; Wall, Kiana; Sharp, Carla


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{
  "@context": "https://schema.org/", 
  "@id": 6507, 
  "@type": "ScholarlyArticle", 
  "creator": [
    {
      "@type": "Person", 
      "affiliation": "Necmettin Erbakan Univ, Meram Sch Med, Dept Child & Adolescent Psychiat, TR-42080 Konya, Turkey", 
      "name": "Akca, Omer Faruk"
    }, 
    {
      "@type": "Person", 
      "affiliation": "Univ Houston, Dept Psychol, Houston, TX USA", 
      "name": "Wall, Kiana"
    }, 
    {
      "@type": "Person", 
      "affiliation": "Univ Houston, Dept Psychol, Houston, TX USA", 
      "name": "Sharp, Carla"
    }
  ], 
  "datePublished": "2020-01-01", 
  "description": "Background With increased consensus regarding the validity and reliability of diagnosing Borderline Personality Disorder (BPD) in adolescents, clinicians express concern over the distinction between BPD and Attention-Deficit/Hyperactivity Disorder (ADHD), and its co-morbidity in clinical settings. The goal of this study was to evaluate differences between BPD, ADHD and BPD + ADHD in terms of co-morbid psychiatric disorders and a range of self-reported behavioral problems in adolescents. Methods Our sample consisted of N = 550 inpatient adolescents with behavioral and emotional disorders that have not responded to prior intervention. We took a person-centered approach (for increase clinical relevance) and compared adolescents with ADHD, BPD and ADHD+BPD in terms of co-occurring psychiatric disorders and behavioral problems. We performed a regression analysis to test whether BPD symptoms make an incremental contribution to the prediction of psychiatric symptoms over ADHD symptoms. Results The severity of almost all co-occurring disorders, aggression, self-harm, suicidal thoughts, and substance use, were higher in the ADHD+BPD group. Borderline symptoms made an incremental contribution to the prediction of psychiatric symptoms beyond the contribution of ADHD. Conclusion Severity and co-morbidity may be helpful factors in distinguishing between ADHD and BPD in clinical practice and the co-morbidity of these two disorders may indicate a worse clinical outcome.", 
  "headline": "Borderline personality disorder and attention deficit/hyperactivity disorder in adolescence: overlap and differences in a clinical setting", 
  "identifier": 6507, 
  "image": "https://aperta.ulakbim.gov.tr/static/img/logo/aperta_logo_with_icon.svg", 
  "license": "http://www.opendefinition.org/licenses/cc-by", 
  "name": "Borderline personality disorder and attention deficit/hyperactivity disorder in adolescence: overlap and differences in a clinical setting", 
  "url": "https://aperta.ulakbim.gov.tr/record/6507"
}
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